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. 2022 Nov;13(6):807-809.
doi: 10.1177/21501351221109193. Epub 2022 Jul 12.

Surgical Repair of a Sinus of Valsalva Aneurysm

Madelien V Regeer  1 , Heleen B van der Zwaan  1 , Paul H Schoof  2 , Egidius E H L van Aarnhem  3
Affiliations

Surgical Repair of a Sinus of Valsalva Aneurysm

Madelien V Regeer et al. World J Pediatr Congenit Heart Surg. 2022 Nov.

Abstract

A surgically challenging case of an unruptured Sinus of Valsalva aneurysm (SoVA) with severe aortic regurgitation (AR) due to cusp prolapse is presented. Sinus reconstruction with a patch cut out from the sinus portion of a Gelweave Valsalva graft (Terumo Vascutek) was performed. Intraoperative measurements showed insufficient effective height of the right coronary cusp; therefore, cusp plication and pericardial patch augmentation of the right coronary cusp were performed with satisfying result.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
(A) Transesophageal echocardiography: sinus of Valsalva aneurysm with prolapse of the right coronary cusp with severe eccentric aortic regurgitation. (B) Computed tomography: relation between sinus of Valsalva aneurysm (*) and right coronary artery (arrow).
Figure 2.
Figure 2.
Intraoperative photographs and schematic line drawings of the various surgical stages. (A) Inspection of the sinus of Valsalva aneurysm. (B) 26 mm GelweaveTM Valsalva prosthesis of which the left- and noncoronary sinus of the graft are removed, is implanted in the right coronary sinus. (C) Extension of the right coronary cusp with a strip of autologous pericardium to increase effective height to >9 mm.
See this image and copyright information in PMC

References

    1. Jaswal V, Kumar V, Thingnam SKS, Goverdhan DP. Surgical repair of ruptured sinus of Valsalva aneurysm: 13-year single center experience. J Card Surg. 2021; 36( 4): 1264‐ 1269. - PubMed
    1. Nguyen Q, Vervoort D, Phan K, Luc JGY. Surgical management for unruptured sinus of Valsalva aneurysms: a narrative review of the literature. J Thorac Dis. 2021; 13( 3): 1833‐ 1850. - PMC - PubMed
    1. Berrebi A, Monin JL, Lansac E. Systematic echocardiographic assessment of aortic regurgitation—what should the surgeon know for aortic valve repair? Ann Cardiothorac Surg. 2019; 8( 3): 331‐ 341. - PMC - PubMed
    1. Luo X, Li B, Ju F, et al.. Risk factors for aortic regurgitation progression after repair of Sinus of Valsalva aneurysm. Heart Lung Circ. 2021;S1443-9506(21)01197-5 (online). - PubMed
    1. Lansac E, Di Centa I, Sleilaty G, et al.. Remodeling root repair with an external aortic ring annuloplasty. J Thorac Cardiovasc Surg. 2017; 153( 5): 1033‐ 1042. - PubMed

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